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New Hampshire rates for HCPCS A9561

Technetium Tc-99moxidronate Diagnostic Per Stud Y Dose Up To 30 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.88 / $44.88 / $273.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.88 / $44.88 / $52.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.47 / $44.68 / $44.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.88 / $44.88 / $44.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.88 / $44.88 / $44.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.88 / $68.06 / $138.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.16 / $50.16 / $50.16
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.88 / $61.75 / $3,000.00